House File 161 H-1007 Amend House File 161 as follows: 1 1. By striking everything after the enacting clause and 2 inserting: 3 < Section 1. Section 147.136A, subsection 2, Code 2023, is 4 amended to read as follows: 5 2. The Subject to subsection 4, the total amount recoverable 6 in any civil action for noneconomic damages for personal injury 7 or death, whether in tort, contract, or otherwise, against a 8 health care provider shall be limited to two hundred fifty 9 thousand five million dollars for any occurrence resulting 10 in injury or death of a patient regardless of the number of 11 plaintiffs, derivative claims, theories of liability, or 12 defendants in the civil action , unless the jury determines that 13 there is a substantial or permanent loss or impairment of a 14 bodily function, substantial disfigurement, or death, which 15 warrants a finding that imposition of such a limitation would 16 deprive the plaintiff of just compensation for the injuries 17 sustained . 18 Sec. 2. Section 147.136A, Code 2023, is amended by adding 19 the following new subsections: 20 NEW SUBSECTION . 4. The limitation on damages contained 21 in subsection 2 shall increase by two and one-tenth percent 22 on January 1, 2028, and each January 1 thereafter. In any 23 civil action described in this section, such limitation on 24 damages shall be the amount effective at the time of the 25 occurrence. The commissioner of insurance shall publish the 26 amount of the limitation on damages contained in this section 27 on the insurances division’s internet site and shall update the 28 published amount annually. 29 5. Until January 1, 2028, an insurance carrier that writes 30 medical malpractice insurance in this state shall not increase 31 the premium paid by, charged to, or offered to any health care 32 provider for medical malpractice insurance as of July 1, 2023. 33 On January 1, 2028, an insurance carrier that writes medical 34 malpractice insurance in this state may increase the premium 35 -1- HF 161.157 (3) 90 cm/ns 1/ 2 #1.
paid by, charged to, or offered to any health care provider 1 for medical malpractice insurance as of July 1, 2023, by no 2 more than two and one-tenth percent, and may increase such 3 premium by no more than two and one-tenth percent each January 4 1 thereafter. The commissioner of insurance shall approve any 5 premium increase proposed by an insurance carrier under this 6 subsection prior to the premium increase being imposed on a 7 health care provider. For the purpose of this subsection, 8 “medical malpractice insurance” means the same as defined in 9 section 519A.2. 10 Sec. 3. APPLICABILITY. This Act applies to causes of action 11 that accrue on or after the effective date of this Act. > 12 2. Title page, line 1, after < against > by inserting < and 13 medical malpractice insurance of > 14 3. Title page, line 2, by striking < effective date and > 15 ______________________________ MATSON of Polk -2- HF 161.157 (3) 90 cm/ns 2/ 2 #2. #3.